Premium
The Association of Hair Cortisol with Self‐Reported Chronic Psychosocial Stress and Symptoms of Anxiety and Depression in Women Shortly after Delivery
Author(s) -
Braig Stefanie,
Grabher Felix,
Ntomchukwu Clarissa,
Reister Frank,
Stalder Tobias,
Kirschbaum Clemens,
Rothenbacher Dietrich,
Genuneit Jon
Publication year - 2016
Publication title -
paediatric and perinatal epidemiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.667
H-Index - 88
eISSN - 1365-3016
pISSN - 0269-5022
DOI - 10.1111/ppe.12255
Subject(s) - anxiety , medicine , psychosocial , chronic stress , depression (economics) , pregnancy , clinical psychology , epidemiology , psychiatry , genetics , biology , economics , macroeconomics
Background Psychosocial stress during pregnancy including anxiety and depression is known to have adverse health effects on newborns. However, measuring these psychological constructs is complex with psychological, endocrinological, and physiological systems being affected. Hair cortisol concentrations ( HCC ), assumed to reflect long‐term endocrine consequences of stress exposure, represent a promising instrument for epidemiological research. However, the association between HCC and questionnaire‐based instruments is unclear. Methods In the U lm SPATZ H ealth S tudy, mothers were recruited shortly after delivery in the U niversity M edical C entre U lm, G ermany between A pril 2012 and M ay 2013. HCC of 768 participants were determined in scalp‐near 3 cm maternal hair segments, assumed to reflect cortisol exposure over the last trimester of pregnancy. Chronic stress, anxiety, and depressive symptomatology were self‐reported in questionnaire‐based instruments. Spearman correlation coefficients between HCC and these instruments as well as means of HCC in highly and low stressed subgroups were calculated. Results HCC were not correlated with self‐reported chronic stress, anxiety, or depressive symptomatology. Furthermore, the investigation of sub‐populations did not reveal substantial differences of HCC across highly and low stressed women. Conclusions HCC were not found to correlate with self‐reports of chronic stress, anxiety, or depressive symptomatology. Among other things, these findings could reflect problems with questionnaire‐based assessments obtained shortly after delivery such as recall bias and/or suggest that associations between cortisol secretion and psychosocial stress are difficult to detect due to, e.g. a strong physiological increase of cortisol in the last trimester.